Abstract: Background　Mindfulness-based stress reduction（MBSR）has become popular in China.Due to the widespread use of online video platforms，online MBSR courses has emerged.Although studies showed that online MBSR courses can reduce stress，anxiety or depression of cancer patients，mind state，the most common mental health indicator for non-clinical audience，is less focused.Objective　To evaluate the effect of a Chinese online MBSR course on the level of mindfulness and mood state of course participants recruited from a general population and to investigate the correlation between the changes of mindfulness level and mood state.Methods　Chinese speaking self-pay participants were recruited by E-mail and Chinese social media to an Chinese online MBSR course from May to July 2017.The course is led by a senior MBSR tutor on ZOOM platform for 8 weeks，including network group courses and after school exercises.The Five Facet Mindfulness Questionnaire （FFMQ） and Profile of Mood States-short Form （POMS-SF） both in Chinese version were administered at baseline and within 3 days after the completion of the course.The course attendance rate was recorded.　Changes in level of mindfulness and mood state and their correlation were analyzed.Results　A total of 24 questionnaires were distributed and 21 valid questionnaires were collected，with an effective recovery rate of 87.5%.The attendance rate of the course was 100.0% （21/21）．There was an increase in the total score of FFMQ，the score of observing and non-judging after the course （P<0.05）．There was no significant difference in the score of describing，awareness and non-reactivity facets of FFMQ （P>0.05）．There were no significant differences in the score of total mood disturbance （TMD），tension，anger，fatigue，depression，confusion，vigor and self-esteem before and after the course （P>0.05）．Total score difference of FFMQ was negatively correlated with differences of TMD，tension，anger，depression and confusion （P<0.01）．We further looked at the 16 participants （76.2%） who had increased FFMQ score after the course，and the total score of FFMQ was （130.8±15.9） points before the course，which was lower than that of （151.1±13.4） after the course （tpaired=5.47，P<0.001）．Among those with significant increase in FFMQ，we found that their TMD，tension，depression and confusion were significantly lower than that of baseline （P<0.05）．However，anger，fatigue，vigor and self-esteem did not show statistically significant changes （P>0.05）．Conclusion　The Chinese online MBSR course can improve the mindfulness level of participants and stabilize their state of mind.

Key words: Psychotherapy, Mindfulness-based stress reduction, Local area networks, Mood state

摘要： 背景　近年来，正念减压（MBSR）在中国流行，由于网络视频平台的广泛应用，MBSR课程开始以网络形式开展。虽有研究表明网络MBSR课程可减轻癌症患者压力、焦虑或抑郁，但未关注大部分非临床受众最普遍的心理健康指标—心境状态。目的　初步评价中文网络MBSR课程对普通人群正念水平和心境状态的影响以及两者的相关性。方法　2017年5—7月通过电子邮件及社交平台招募付费参与中文网络MBSR课程的中国学员，课程在ZOOM平台由资深MBSR导师带领，共8周，包括网络团体课程和日常课后练习。参与者分别于课程开始前3 d内和结束后3 d内填写五因素正念量表（FFMQ）中文版及简式心境状态量表（POMS-SF）中文版，并计算课程出席率，分析课程前后正念水平和心境状态的变化及两者变化的相关性。结果　共发放问卷24份，回收有效问卷21份，有效回收率为87.5%。课程出席率为100.0%（21/21）。课程后FFMQ总分、观察、非评判得分均高于课程前（P<0.05）；课程前与课程后描述、觉知、不行动得分比较，差异均无统计学意义（P>0.05）。课程前与课程后情绪状态总分（TMD）、紧张、愤怒、疲劳、抑郁、慌乱、精力、自尊感得分比较，差异均无统计学意义（P>0.05）。FFMQ总分差值与TMD差值、紧张差值、愤怒差值、抑郁差值、慌乱差值均呈负相关（P<0.01）。课程后FFMQ总分较课程前升高者16例（76.2%），其课程前FFMQ总分为（130.8±15.9）分，低于课程后的（151.1±13.4）分（t配对=5.47，P<0.001）。课程后FFMQ总分较课程前升高者课程前与课程后愤怒、疲劳、精力、自尊感得分比较，差异均无统计学意义（P>0.05）；课程后FFMQ总分较课程前升高者课程后TMD、紧张、抑郁、慌乱得分均低于课程前（P<0.05）。结论　中文网络MBSR课程能提高参与者正念水平，稳定其心境状态。

关键词: 心理疗法, 正念减压, 局部网络, 心境状态